Medicine and Health Sciences Commons^™

Minireview: Covid–19: Criticism Of The Pathogenesis Based On The Tropism, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

No abstract provided.

Endovascular Management Of Post Traumatic Lower Extremity Pseudoaneurysm: An Evidence Based Case Report, Patrianef Darwis, Feyona H. Subrata

The New Ropanasuri Journal of Surgery

Introduction. Increasing incidence of trauma all over the world will increase the risk of vascular trauma, so will the prevalence of pseudoaneurysm. Post traumatic pseudoaneurysm occurs within days or months and commonly diagnosed as hematoma in its early presentation. An effective, less invasive, and low-cost treatment with high rate of survival is needed by patients with post traumatic pseudoaneurysm. Endovascular surgery is one of the less invasive techniques. This case report was made to find out the effectivity of endovascular surgery in the treatment of post traumatic pseudoaneurysm.

Method. Literature searching was performed in Cochrane Library, EBSCOhost, ClinicalKey, …

Hernia Through Winslow Foramen In Cipto Mangunkusumo General Hospital, Jakarta: A Case Report, Eko Ristiyanto, Taufik A. Wibowo, Ridho A. Syaiful, Benny Philippi, Toar J.M. Lalisang

The New Ropanasuri Journal of Surgery

Introduction. Hernias through Winslow foramen are extremely rare, occurred for 0.1% of all abdominal hernias and found during laparotomy due to strangulated bowel obstruction. This study aims to describe hernia of Winslow foramen and its management.

Method. Data were retrospectively collected based on medical records. Clinical manifestations, laboratory data, supporting radiographic examinations, treatment, postoperative care, and outcomes were collected.

Case summary. We report the first case of Winslow foramen hernia at Cipto Mangunkusumo General Hospital, Jakarta. A man 54 years in 2019. Ileus was the main clinical symptoms and presented epigastric pain, nausea and vomiting. Plain abdominal x-ray …

Intraoperative Pancreatic Assessment In Pancreaticoduodenectomy The Correlation With Pancreatic Fistula Formation, Yarman Mazni, Ardani F. Syafiuddin, Agi S. Putranto

The New Ropanasuri Journal of Surgery

Background Pancreatic cancer affects 25,000 to 30,000 people in the United States each year and is the fourth or fifth leading cause of cancer-related death in this country. It is generally resected by pancreaticoduodenectomy, with or without preservation of the pylorus and proximal duodenum. Anastomotic leaks, intra-abdominal abscesses, and delayed gastric emptying account for most of the perioperative complications after pancreaticoduodenectomy. Anastomotic leaks of pancreas are resulted pancreatic fistula about 45%. A lot of study that have been done to find risk factors of postoperative pancreatic fistula (POPF) with contradictive results.

Method This study was done for 70 patients …

Risk Factors That Influence Hospital Length Of Stay In Diabetic Foot Ulcer With Negative Pressure Wound Therapy At Rs. Dr. Cipto Mangunkusumo, Prabowo W. Simbolon, Hilman Ibrahim

The New Ropanasuri Journal of Surgery

Introduction. It is estimated that around 15% of diabetic patients will experience diabetic foot ulcer (DFU) in their lifetime. Negative Pressure Wound Therapy (NPWT) is proven to be more effective than conventional treatments. NPWT creates a moist wound environment, increases local blood flow and stimulates tissue granulation thereby accelerating wound healing. This study was conducted to determine the risk factors that affect the length of stay of DFU with NPWT. Knowing this risk factors may be helpful for optimizing management strategy.

Method. This research was a retrospective study with a cross-sectional analytic design in 105 subjects treated in January 2016 …

Postoperative Wound Irrigation Using Distilled Water In Preventing Surgical Site Infection In A Tertiary Hospital: A Retrospective Cohort And Cost-Effective Study, Wifanto S. Jeo, Dennis W. Pratama, Yoni Vanto, Aria Kekalih, Yefta Moenadjat

The New Ropanasuri Journal of Surgery

Background. The incidence of surgical site infections (SSIs) is reducing following the global campaign that requires all the stakeholder involvement. However, of all hospital-acquired infection prevention programs, wound irrigation is hard to be implemented in our hospital. There is a belief that the wound irrigation procedure leading to the spreading of infection. In contrast, the use of antiseptic and topical antibiotic, as well as systemic antibiotic, is uncontrolled high. Thus, we run a cost-effective study of wound irrigation to change the practice.

Method. We carried out a prospective cohort study comparing wound irrigation and the standard protocol in wound …

Reducing Hiv Risk Among Young Women And Their Partners: Highlights From The Dreams Implementation Science Research Portfolio, Population Council

HIV and AIDS

The Population Council, with funding from the Bill & Melinda Gates Foundation and the U.S. Agency for International Development through Project SOAR, led a set of implementation science studies to capture multiple perspectives that reflect the innovative aspects of DREAMS. These mixed-method studies conducted across seven countries (Eswatini, Kenya, Malawi, South Africa, Tanzania, Uganda, and Zambia) provide critical evidence that fill knowledge gaps on how to reduce HIV risk among AGYW and their male partners. This brief presents key findings grouped around four areas of inquiry: 1) HIV vulnerability and risk; 2) social drivers of HIV risk; 3) effects of …

The Effects Of Migraines, Anxiety And Depression On Concussion Recovery, Donovan A. Howard

Theses and Dissertations

Concussion recovery has been a very relevant topic in the medical field recently. The impact that a concussion has on the patient post-injury has been a topic of debate. What has not been included in many of these studies has been whether or not certain factors in a medical history of patients under the age of 24 can predispose them to a longer concussion recovery. Medical factors such as depression, anxiety and migraines can result in different areas of the developing brain being compromised such as the hippocampus, anterior cingulate cortex, prefrontal cortex, striatum, and amygdala. A longer recovery duration …

Toward Precision Medicine With Nanopore Technology, Trang Andrea Vu

Theses and Dissertations

Currently, when patients are diagnosed with cancer, they often receive a treatment based on the type and stage of the tumor. However, different patients may respond to the same treatment differently, due to the variation in their genomic alteration profile. Thus, it is essential to understand the effect of genomic alterations on cancer drug efficiency and engineer devices to monitor these changes for therapeutic response prediction. Nanopore-based detection technology features devices containing a nanometer-scale pore embedded in a thin membrane that can be utilized for DNA sequencing, biosensing, and detection of biological or chemical modifications on single molecules. Overall, this …

2020-06-10_Michiganoverview_Covidbedppe, Michigan Department Of Health & Human Services

Michigan COVID-19 Hospital Data

The webpage was obtained from Michigan's Coronavirus Cumulative Data page, under the link Data About Places. Data is self-reported by hospitals daily to the EM Resource System per MDHHS Director Robert Gordon's Emergency Order.

Contains the tables Statewide Available Bed Tracking for COVID-19, COVID-19 Metrics, Statewide Available PPE Tracking for COVID-19 (Statewide Available PPE and Bed Tracking), as well as the tables PPE Days On Hand and Patient Census.

Evaluation Of The Implementation Of Eras Protocol In Colorectal Surgery At Dr. Cipto Mangunkusumo General Hospital, Jakarta, Wifanto S. Jeo, Yarman Mazni, Andre S. Suryadi

The New Ropanasuri Journal of Surgery

Background: The enhanced recovery after surgery (ERAS) protocol, an evidence-based perioperative strategy, has been proven in reduces the postoperative length of stay and perioperative complications rates in colorectal surgery. The implementation of ERAS defined by 15 components. However, the evaluation of ERAS component that have been applied to the outcomes in unclear.

Methods: A retrospective study was performed on 63 patients who undergone elective colorectal surgery based on ERAS protocol from January 2015 to December 2017 at Cipto Mangunkusumo Hospital. Patient characteristics, demographic, clinical findings, and length of stay (LOS) colleted from medical records. The relationship between the number of …

Impact Of Conflict On Maternal And Child Health Service Delivery: A Country Case Study Of Afghanistan, Mohammed Shafiq Mirzazada, Zahra Ali Padhani, Sultana Jabeen, Malika Fatima, Arjumand Rizvi, Uzair Ansari, Jai K. Das, Zulfiqar Ahmed Bhutta

Woman and Child Health

Introduction: Since decades, the health system of Afghanistan has been in disarray due to ongoing conflict. We aimed to explore the direct effects of conflict on provision of reproductive, maternal, newborn, child and adolescent health and nutrition (RMNCAH&N) services and describe the contextual factors influencing these services.
Method: We conducted a quantitative analysis of secondary data on RMNCAH&N indicators and undertook a supportive qualitative study to help understand processes and contextual factors. For quantitative analysis, we stratified the various provinces of Afghanistan into minimal-, moderate- and severe conflict categories based on battle-related deaths from Uppsala Conflict Data Program (UCDP) and …

The Health Consequences Of Riot Control Methods, Austin Mcneill Brown

Population Health Research Brief Series

Riot control tactics pose a risk to the health and safety of protestors. This issue brief examines the health implications of riot control methods such as tear gas, pepper spray, and “less than lethal” munitions and the role of such techniques in recent protests.

Pneumocephalus And Facial Droop On An Airplane: A Case Report, Irina Sanjeevan-Cabeza, Morgan Oakland

Department of Emergency Medicine Faculty Papers

Introduction: Pneumocephalus (PNC) is most commonly associated with trauma or intracranial surgery, less commonly secondary to an infectious source, and is rarely caused by barotrauma.

Case report: A 32-year-old woman presented to the emergency department with complaint of resolved left-sided facial droop and a lingering paresthesia of her left upper extremity after a cross-country flight. Computed tomography demonstrated several foci of air in the subdural space consistent with PNC.

Conclusion: For PNC to occur there must be a persistent negative intracranial pressure gradient, with or without an extracranial pressure change. In this case the pressure change occurred due to cabin …

Factors Affecting The Utilization Of Antenatal Care Among Married Women Of Reproductive Age In The Rural Thatta, Pakistan: Findings From A Community-Based Case-Control Study, Sumera Aziz Ali, Savera Aziz Ali, Anam Feroz, Sarah Saleem, Zafar Fatmi, Muhammad Masood Kadir

Community Health Sciences

Background: There are differences in antenatal care (ANC) utilization between urban and rural areas of Pakistan. Although multiple factors have been studied affecting the utilization of general health care services, the effect of road network distance particularly on the utilization of ANC has not been assessed. Therefore, this study aimed to determine the association between road network distance from a health care facility and utilization of the ANC among women of reproductive age in Thatta Pakistan.
Methods: A community-based case-control study was conducted in district Thatta, Pakistan. Women who did not utilize ANC services during their last pregnancy were considered …

Returning To Campus This Fall, June 10, 2020, University Of Northern Iowa

UNI Response to COVID-19

An announcement from President Mark Nook concerning changes to the Fall 2020 Semester schedule as well as other changes to deal with the COVID-19 pandemic.

2020-06-10 A Message From Chancellor Roth, Paul B. Roth

HSC Messages from the Chancellor

No abstract provided.

Assessment Of Healthcare Waste Management In Hospitals Of South Lebanon, Mona Tfaily, Salim Moussa

BAU Journal - Health and Wellbeing

Healthcare wastes (HCW) are produced in any healthcare setting during diagnosis, medical care, operation or injection process or during research studies. The management of such wastes is becoming a great issue since they pose many health risks and environmental damage. Hence, this study was carried out to assess the level of healthcare waste management in hospitals of South Lebanon. A cross sectional study was conducted in five hospitals located in South Lebanon (A, B, C, D and E). The Individualized Rapid Assessment Tool (I-RAT) developed in 2009 as part of the UNDP GEF Global Project on Healthcare Waste, was the …

Hospital-Acquired Infection Role In Unplanned Extubation Of Endotracheal Tubes In Critical Care Units In Lebanon, Ahmad El Tassi

BAU Journal - Health and Wellbeing

Controlling Hospital-acquired Infections remains the cornerstone for improving patient safety during hospitalization. It continues one of the most common and costly problems facing critically ill patients in intensive care units. Disrupting mechanical ventilation, commonly performed in the intensive care unit, via unplanned extubation, whether deliberate or accidental, is a nightmare to any critical care practitioner. The main purpose of this study was to investigate the role of Hospital-acquired Infections on unplanned extubation in adult critical care units at a Lebanese university hospital. A Case-control design was implemented. All medical records of patients admitted to critical care units over the last …

Effectiveness Of A Health Education Intervention About Influenza And Vaccine In Secondary Schools In South Lebanon, Israa Assaf, Salim Moussa

BAU Journal - Health and Wellbeing

Seasonal influenza is an intense respiratory illness caused by influenza viruses that circulate all around the world. In Lebanon, there is a lack of national flu awareness campaigns. Schools’ students are truly outstanding and viable sources to spread the awareness and strive for the conduct change in the general population. Hence, this study was carried out to test the effectiveness of a health education intervention in improving the knowledge, attitudes, and practices (KAP) toward influenza and its vaccine among secondary schools’ students in South Lebanon. This is a Pre/Post research study conducted in four schools located in South Lebanon. A …

Concept Mapping Versus Traditional Teaching Method On Health Sciences’ Students’ Score, Mirna Fawaz, Ayman El Khatib, Germine El Kassas, Said El Shamieh

BAU Journal - Health and Wellbeing

In the recent years, health care systems have been dynamically changing which demanded modifications in health care education. Current educational models are becoming more and more obsolete in enhancing the professional level of both teachers and students. Concepts maps are effective tools in processing large amounts of information, comprehending new concepts, as well as in generating information and amplifying creativity levels. The aim of this study is to compare the concept mapping versus traditional teaching method on Health Sciences’ students’ score. A Quasi-experimental design was implemented in the study. The study revealed that there was a significant difference between learning …

Assessment Of The Occlusal Characteristics Of The Primary Dentition Among Lebanese Pre-School Children: A Base Line Study Cross-Sectional Study, Sherine B.Y. Badr, Sara H.Yahfoufi

BAU Journal - Health and Wellbeing

One of the most important goals in pediatric dentistry is to achieve and maintain a normal occlusion throughout the development of the child. Any deviation from the normal dentofacial growth pattern might lead to esthetic and functional problems in the future. These changes can be noticed during regular dental checkups, and actions can be taken to reduce their effect on the developing dentition. The aim of this study is to assess the occlusal characteristics of primary dentition in children under 6 years of age, attending the BAU output dental clinics and a number of private schools. This cross-sectional study was …

Pain Detection Threshold And Pain Tolerance Threshold In Shisha Smokers In Lebanon - A Health Hazard, Nariman Salem, Sara El Rawas, Rima Abou Chahine, Zouhour Alwan, Rouba Halime, Lara Chehade, Mohammad Abdallah

BAU Journal - Health and Wellbeing

Shisha smoking is a common method of tobacco smoking in the Mediterranean Region with prevalence ranging between 20% and 70%. Actually, shisha smoking is becoming increasingly popular method of tobacco smoking worldwide. Pain is a subjective experience influenced by genetic, developmental, familial, psychological, social and cultural variables. An increase in pain tolerance threshold (Ptt) ,which is defined as the highest intensity of painful stimulation that a tested subject is able to tolerate, was noticed with cigarette smoking. However, the relation between shisha smoking and pain detection threshold (Pdt), defined as the lowest intensity of a painful stimulus at which the …

Factors Affecting Metformin And Clomiphene’S Reproductive Efficacy In Pcos Women, Rita J. Poushuju, Ahmed I. El-Mallah, Lama T. Soubra, Lina N. Jarrah

BAU Journal - Health and Wellbeing

Polycystic Ovarian Syndrome (PCOS) is a heterogeneous multifactorial disorder in which the ovarian dysfunction is the main cause of an ovulatory infertility. Metformin and Clomiphene Citrate (CC) are two effective drugs to induce ovulation in these patients. The study aimed to ascertain the effect of obesity, serum insulin and free testosterone levels on fertility success with metformin and CC as first line approaches in PCOS. This clinical study was a retrospective multicenter cohort study conducted in nine gynecology and endocrinology clinics. It included (61) PCOS women, aged (18-32) years, having desire to conceive, and free from the study medications for …

Effect Of Segmental Vibration On Hand And Pinch Grip Strengths In Healthy Subjects, Rami L. Abbas, Ayman El Khatib, Ibtissam M. Saab

BAU Journal - Health and Wellbeing

Handgrip and pinch strengths are important markers in many sports as well as in determining health status. Many interventions have been proposed for increasing hand muscle strength. The aim of this study was to investigate the effect of segmental hand vibration on hand and pinch grip strengths. Ninety-two healthy university students were randomly assigned into two equal groups. By the end of the study, Group (A) and (B) consisted of 40 and 37 participants, respectively. The measurements consisted of the hand grip and pinch grip strengths using electronic dynamometer, measured in Kg, before, after three weeks, and after six weeks …

In Vitro Equivalence Study Of Generic Metformin Hydrochloride Tablets Under Biowaiver Conditions, Ruaa H. Al Arwadi, Azza A. K. Gazy, Lama Soubra, Rola D. Ajami

BAU Journal - Health and Wellbeing

Background: Generic drugs are smarter alternative to expensive brands, it is bio- equivalent formula of any branded drug. FDA approved that generic drugs are the safest to consume, the medicines meet the similar manufacturing standards followed while producing an innovator drug, however, the color, shape, taste and packaging of generics is different from the innovator product. In short, a generic drug should be bioequivalent to its brand counterpart. Metformin was initially marketed under the name of Glucophage®, and now the market is loaded by generics of different origin, and price variability. Method: Our study was conducted to determine whether metformin …

Effects Of A 6-Week Low-Carbohydrate High-Fat Diet On Lipid Profiles In Competitive Recreational Distance Runners, K. Scott, P. Prins, T. Noakes, G. Welton, A. Atwell, S. Haley, N. Esbenshade, J. Abraham, A. Raabe, J. Buxton, D. Ault

International Journal of Exercise Science: Conference Proceedings

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Is Hormonal Contraceptive Use During Adolescence A Factor In Baseline Adult Muscle Mass And Function?, B. Sawester, A. Sydenstricker, J. Pina, D. Al Kuisi, M. Almady, J. Dowthwaite

International Journal of Exercise Science: Conference Proceedings

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The Effects Of Music On Perceived Intensity Of Exercise During A Submaximal Treadmill Test, Thariana Salazar, Ruth Georges, Rebecca Shumard, Anjuli Gairola

International Journal of Exercise Science: Conference Proceedings

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The Effect Of A Placebo On The Rotc Apft Test And Performance Perception, C. Saunders, K. Williams, C. Sebeck, E. Mcgee, K. Fitzgerald, S. Forlenza, J. Sanders

International Journal of Exercise Science: Conference Proceedings

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